The nurse discusses and demonstrates proper hand hygiene to an immunocompromised patient and his wife. The nurse determines additional teaching is necessary when the patient states:
a. "It is okay for my wife to wear artificial nails as long as she performs good hand-washing."
b. "I should wash my hands before I eat."
c. "Hand gels work as well as handwashing under most circumstances."
d. "I should use friction and wash my hands for about 20 seconds if I am using soap and water."
A
Artificial nails harbor microorganisms regardless of good hand hygiene. Washing hands prior to eating is good practice, as well as using friction and washing for 15 to 30 seconds with soap and water. Hand gels are effective in most circumstances except for certain infections such as C. dif-ficile and C. albicans.
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The nurse's assessment reveals edema of both feet and ankles. The best documentation of these findings is:
a. pitting edema present in both feet and an-kles. b. edema in both feet and ankles approx-imately 4 mm deep. c. 4 mm pitting edema quickly resolving. d. bilateral pitting edema in feet and ankles: 4 mm deep resolving in 3 seconds.
One of the major differences between hospital and community care is that community care
a. is not as demanding as hospital care b. focuses on groups or aggregates in the community setting c. does not use standards of care d. is not as responsible for care provided compared to hospital care
Before having weight loss surgery
A. co-morbidities must be stabilized. B. the patient must lose weight. C. the BMI must be below 26. D. the patient must sign a contract.
The mental health nurse is conducting the initial assessment of an obese client. The client confides that she was sexually molested at age 7 and began putting on weight thereafter. The nurse determines that the client's symptoms are compatible with a somatization disorder and recalls that obesity for this client most likely represents which?
A. Satisfaction with self B. A form of functional coping C. Protection from the risk of intimacy D. Long-term lack of compliance with weight programs